NPI: 1710207311 · SELMA, CA 93662 · General Practice Dentistry · NPI assigned 06/04/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 92 | $7K |
| 2019 | 68 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 13 | 13 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 32 | 32 | $2K |
| D0350 | 39 | 26 | $364.80 | |
| D0230 | Intraoral - periapical each additional radiographic image | 50 | 34 | $336.15 |
| D1208 | Topical application of fluoride, excluding varnish | 26 | 26 | $298.00 |